Effectiveness of an educational program on patient's dietary knowledge after recovery from myocardial infarction


  • Sabri Shather Hadi Assistant Lecturer, Department of Adult Nursing, College of Nursing, Al-Qadisiyah University, Al-Diwaniyah, Iraq
  • Khalida Mohammed Khudur Professor, Department of Adult Nursing, College of Nursing, University of Baghdad, Baghdad, Iraq


educational program, patient's dietary knowledge, myocardial infarction, DASH diet


Background: Acute myocardial infarction is one of the most common health problems in the world and the leading cause of death, it represents a clinical condition characterized by rapidly developing critical myocardial ischemia. This indicates the requirement that MI patients need to adherence of a healthy diet and receive required education on changing dietary pattern, dietary regimens, including the composition, calorie intake, and feeding patterns, represent major factors affecting of myocardial infarction patients.

Aim of this study: The study aims to evaluate the patient's dietary knowledge after recovery from myocardial infarction, and to find out the association between the effectiveness of educational program and patient's socio-demographic characteristics (age, gender, level of education, occupational status and residential area).

Methodology: The quasi-experimental design has been carried out to evaluate the patient's dietary knowledge after recovery from myocardial infarction, in the cardiac outpatient clinic at Al-Diwaniyah teaching hospital for the period from 17th January 2023 to 3th May, 2024. Non probability (purposive) sample of (60) patients were selected who are recovery from myocardial infraction for at least four weeks and they had attended of cardiac outpatient clinics of AL Diwaniyah teaching hospital, the sample was divided into two groups each one consisted of (30) patients as study and control group. The study instrument comprised of (3) parts: Part I- demographical characteristics of the patient which consist of (7) items. Part II- Clinical characteristics data which consists of (3) items and Part III- Patient's Dietary Knowledge which consists of (20) close-ended statements.

Results: Results of the study shows the patient's dietary knowledge at post-test were improved to good dietary patients' knowledge in mean (2.35) regarding study group. While the dietary patients' knowledge at the Pre-Test and Post-Test Measurements for the control group were poor in pre-test (1.62), and post-test (1.61).

Conclusions: The researcher concludes that the educational program was effective in improving the patient's dietary knowledge about DASH diet, and there were statistical significant differences between the study and control group at post-test measurements regarding dietary patients' knowledge at p value <0.05.


Jeihooni AK, Fereidouni Z, Harsini PA, Kavi E, et al. "Effect of Educational Program on Lifestyle of Myocardial Infarction Patients in Iranian Population." Journal of Clinical & Diagnostic Research, 2018, 12(9). Doi.org/10.7860/JCDR/2018/36113.11990.

Behnam Moghadam M, Behnam Moghadam A, Yarian S, et al. "Predicting the Quality of Life Based on Public Health, Social Support and Self Efficacy in Cardiovascular Patients." Armaghane danesh. 2014;19(7):633-642.

Finegold Judith A, Perviz Asaria, Darrel P Francis. "Mortality from ischemic heart disease by country, region, and age: statistics from World Health Organization and United Nations." International Journal of Cardiology. 2013;168(2):934-945. Doi.org/10.1016/j.ijcard.2012.10.046.

Dichgans Martin, Sara L Pulit, Jonathan Rosand. "Stroke genetics: discovery, biology, and clinical applications." The Lancet Neurology. 2019;18(6):587-599. Doi.org/10.1016/S1474-4422(19)30043-2

Roth GA, Johnson C, Abajobir A, et al. "Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015". Journal of the American College of Cardiology. 2017;70(1):1-25. Doi.org/10.1016/j.jacc.2017.04.052

Townsend N, Nichols M, Scarborough P, et al. Cardiovascular disease in Europe-epidemiological update 2015. Eur Heart J. 2015;36(40):2696-2705. Doi.org/10.1093/eurheartj/ehv428.

Jones NR, Forouhi NG, Khaw KT, et al. "Accordance to the dietary approaches to stop hypertension diet pattern and cardiovascular disease in a British, population-based cohort." European Journal of Epidemiology. 2018;33(2):235-244. Doi.org/10.1007/s10654-017-0354-8.

Said MS, El Sayed IT, Ibrahim EE, Khafagy GM. Effect of DASH diet versus healthy dietary advice on the estimated atherosclerotic cardiovascular disease risk. Journal of Primary Care & Community Health, 2021, 12. Doi.org/10.1177/2150132720980952.

Machado JC, Cotta RM, Moreira TR, Silva LS. Adherence to non-pharmacological treatment: analysis of the impact of three health educational and nutritional strategies in hypertensive patients. Rev Nutr. 2016;29:11-22. doi.org/10.1590/1678-98652016000100002.

Hussein Zainab Kadhim, Widad K Mohammed. "Association between Enhancing Learning Needs and Demographic Characteristic of Patients with Myocardial Infarction." Iraqi National Journal of Nursing Specialties, 2022, 35(2). doi.org/10.58897/injns.v35i2.528.

Mansour Khalida A. "Assessment of the Risk Factors of Coronary Artery Diseases in Al-Nasiriyah City." Iraqi National Journal of Nursing Specialties. 2014;27(1):38-46.‏ Doi.org/10.58897/injns.v27i1.192.

Aldaggistany, Zina S Abdulrahman, Ihab S Ahmed, Zuhair Al-Johar. "Prevalence and Demographic characteristics of Metabolic Syndrome in Iraqi Patients with Acute Coronary Syndrome". Journal of the Faculty of Medicine Baghdad. 2023;65(1):8-14.‏ Doi.org/10.32007/jfacmedbagdad.6511951.

Al‐Ganmi, Ali Hussein Alek, et al. "Medication adherence and predictive factors in patients with cardiovascular disease: A cross‐sectional study." Nursing & Health Sciences. 2020;22(2):454-463. Doi.org/10.1111/nhs.12681.

‏Khaleel Maher, Hakima S Hassan. "Effectiveness of a dietary education program upon hypertensive clients' information." Iraqi National Journal of Nursing Specialties. 2011;24(2):33-43.‏ Doi.org/10.58897/injns.v24i2.103.

Abdul-Ameer HF, Khuder KM. Effectiveness of a Diet Exercise Educational Program on Patient's Knowledge to Prevent Coronary Artery Disease Progression After Percutaneous Coronary Intervention. Pakistan Journal of Medical & Health Sciences. 2022;16(05):753-753. Doi.org/10.53350/pjmhs22165753.

Khasal QA, Atiyah HH. Effectiveness of an Education Program on Life-Style of Patients with Myocardial Infarction in Al Nasiriyah Hospitals. Indian Journal of Forensic Medicine & Toxicology. 2019;13(1):307-313. h/doi.org/10.5958/0973-9130.2019.00061.6.

Abdul-hussain Mustafa, Huda B Hassan. "Effectiveness of an Instructional Program Concerning Non-Pharmacological Guideline on Controlling Essential Hypertension among Patients at AL-Sader Hospital in AL-Najaf AL-Ashraf City". Iraqi National Journal of Nursing Specialties. 2020;33(1):93-103. Doi.org/10.58897/injns.v33i1.407.

Paswan Vaishali. "To assess the effectiveness of Self Instructional Module (SIM) on knowledge regarding life style modification among Myocardial Infarction patients admitted in selected hospitals in Vidarbha Region." Asian Journal of Nursing Education and Research. 2018;8(2):247-267.

Mohammed Abbas Jaber, Narmen Badri Tawfiq. "Construction Of Nursing Assessment Rehabilitation Tool For Cardiac Medical Ward Patients At Baghdad Hospitals". Journal of Kufa for Nursing Science, 2014, 4(1). Doi.org/10.36321/kjns.vi20141.2450.

Kittan, Ahmed Abdul-Hussein, Rajha Abdul Hassan Hamza. "Effectiveness of an Instructional Programs on Patient's Knowledge Regarding Self-Care Management after Ischemic Heart Disease." Indian Journal of Forensic Medicine & Toxicology. 2020;14(1):1111-1116.‏

Herliani YK, Rahayu U, Purba CIH, et al. "Patients' needs on nutritional counseling and risk factor management among myocardial infarction patients in cardiac rehabilitation". Journal of Nursing Care, 2019, 2(2). Doi.org/10.24198/jnc.v2i2.22082.

Ose D, Van Lieshout J, Campbell SM, et al. "Identifying factors associated with experiences of coronary heart disease patients receiving structured chronic care and counseling in European primary care". BMC Health Services Research. 2012;12(1):1-11.‏ Doi.org/10.1186/1472-6963-12-221.

Zaitsu M, Kato S, Kim Y, et al. "Occupational Class and Risk of Cardiovascular Disease Incidence in Japan: Nationwide, Multicenter, Hospital‐Based Case‐Control Study". Journal of the American Heart Association, 2019, 8(6). Doi.org/10.1161/JAHA.118.011350.

Kiani, Fatemeh, Nasrin Hesabi, Azizollah Arbabisarjou. "Assessment of risk factors in patients with myocardial infarction". Global Journal of Health Science. 2016;8(1):255.‏ Doi.org/10.5539/gjhs.v8n1p255

Kadhim, Miaad Hussein, Sabri Khalf Shikho, Yousif Mohammed Younis. "Knowledge and Life-Style Changes for Patients with Myocardial Infarction after Percutaneous Coronary Intervention". Journal of Duhok University. 2022;25(2):283-290.‏ Doi.org/10.26682/sjuod.2022.25.2.26.

Sharif, Bayan Omar, Samir Y Lafi. "Common Risk Factors of Myocardial Infarction and Some Socio Demographic Characteristics in Sulaimani City." Kurdistan Journal of Applied Research, 2021, 136-143. Doi.org/10.24017/science.2021.2.13.

Atrous AEH, Hassan M, Shaban Mosa HE, et al. "Dietary Rehabilitation Effectiveness on Coronary Artery Diseases Patient's Outcomes". Systematic Reviews in Pharmacy, 2020, 11(12).




How to Cite

S. S. Hadi and K. M. Khudur, “Effectiveness of an educational program on patient’s dietary knowledge after recovery from myocardial infarction”, J. A. Med. Sci, vol. 4, no. 2, pp. 01–06, May 2024.




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